Individual provider Active NPI

Aurelia King Summerlin, FNP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1699782995
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN186148 Issued in GA
Practice address
5670 Peachtree Dunwoody Rd Ste 1000
Atlanta, GA 30342-4790
Phone
(404) 255-1930
Fax
(404) 459-8510
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-039052 AL
Family Nurse Practitioner 363LF0000X RN186148 GA Primary

Addresses

Primary practice location

5670 Peachtree Dunwoody Rd Ste 1000
Atlanta, GA 30342-4790

Mailing address

5670 Peachtree Dunwoody Rd Ste 1000
Atlanta, GA 30342-4790
Phone (404) 255-1930

Other identifiers 1

IdentifierTypeStateIssuer
Q077462MedicaidTN

Other names 1

  • Aurelia King Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address summerlin.aurelia.king@covenanthealth.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140321001613 GA Practitioner - Nurse Practitioner 3678704384 Reassigns benefits to 1 organization
I20220929003457 TN Practitioner - Nurse Practitioner 3678704384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.74 of 100Reported as group
Quality
63.81
Promoting interoperability
100
Improvement activities
40
Cost
57.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-039052ALMDNurse Practitioner
RN186148GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Georgia LLC CurrentSince Mar 18, 2017 Accepting new patients
Thompson Oncology Group CurrentSince Aug 29, 2022 Accepting new patients

Locations

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

62742 Collections Ctr Dr
Chicago, IL 60693

Dept 888078
Knoxville, TN 37995

1915 White Ave
Knoxville, TN 37916
Phone (423) 977-1065

908 W 4th North St
Morristown, TN 37814
Phone (423) 492-9000

Interoperability endpoints

  • Direct secure messaging: asummerlin183402@cityofhope.direct-ci.com
  • Direct secure messaging: summerlin.aurelia.king@covenanthealth.cernerdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1699782995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 PEACHTREE DUNWOODY RD STE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424790",
            "telephone_number": "404-255-1930",
            "fax_number": "404-459-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 PEACHTREE DUNWOODY RD STE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424790",
            "telephone_number": "404-255-1930",
            "fax_number": "404-459-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERLIN",
        "first_name": "AURELIA",
        "middle_name": "KING",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-039052",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN186148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q077462",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "summerlin.aurelia.king@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "5670 Peachtree Dunwoody Rd Ste 1000",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303424790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AURELIA",
            "last_name": "KING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.